摘要
目的:探讨心理弹性、社会支持对维持性血液透析(MHD)诱导期病人恐惧疾病进展的影响。方法:选取MHD诱导期病人152例,采用一般资料量表、心理弹性量表、社会支持量表和恐惧疾病进展量表进行问卷调查。结果:143例病人最终纳入调查。心理弹性问卷总得分(58.73±10.37)分、社会支持总分(38.15±5.59)分、恐惧疾病进展总得分为(46.53±7.02)分。不同年龄、婚姻、学历、家庭月收入、并发症、血液透析知识的MHD诱导期病人的心理弹性得分差异有统计学意义(P<0.01);不同年龄、婚姻、学历、家庭月收入的病人社会支持差异有统计学意义(P<0.01);不同年龄、婚姻、家庭月收入、并发症、血液透析知识的病人恐惧疾病进展差异有统计学意义(P<0.01)。心理弹性及其维度与恐惧疾病进展呈负相关性(P<0.05~P<0.01);社会支持维度中,除支持的利用度(P>0.05)外,其余各维度均与恐惧疾病进展呈负相关性(P<0.05~P<0.01)。经多重线性回归分析显示,年龄大和并发症≥3个的MHD诱导期病人恐惧疾病进展评分高(P<0.05和P<0.01)),已婚、家庭月收入>10 000元、血液透析知识较多、心理弹性和社会支持得分高的病人恐惧疾病进展评分低(P<0.05~P<0.01),7个变量对病人恐惧疾病进展评分的影响为79.3%(P<0.05)。结论:MHD病人的恐惧疾病是一个复杂的、受多种因素影响的心理感受。临床上医护人员应采取针对性的干预措施,帮助病人建立正确的应对方式,从而缓解疾病进展恐惧心理。
Objective To explore the effects of psychological elasticity and social support on the fear of progression in patients during induction period of maintenance hemodialysis(MHD).Methods A total of 152 patients in the induction period of MHD were investigated by general data scale,psychological elasticity scale,social support scale and fear of progression scale.Results A total of 143 patients were included in the survey.The total score of elasticity questionnaire,social support and fear of progression were(58.73±10.37)points,(38.15±5.59)points,(46.53±7.02)points,respectively.There were significant differences in the scores of elasticity of MHD induction period patients with different age,marriage,educational background,family monthly income,complications and hemodialysis knowledge(P<0.01).There were significant differences in social support among patients with different age,marriage,educational background and family monthly income(P<0.01).The patients with different age,marriage,family monthly income,complications and hemodialysis knowledge were significantly different in fear of progression(P<0.01).There was a negative correlation between psychological elasticity and the fear of progression(P<0.05).In the dimensions of social support,except the utilization of support,the other dimensions were negatively correlated with fear of progression(P<0.05).Multiple linear regression analysis showed that age,marriage,family monthly income,complications,hemodialysis knowledge,psychological elasticity and social support were the influencing factors of fear of progression.Conclusions Fear of progression in patients during MHD induction period is a complex psychological feeling affected by many factors.Clinically,medical staff should take targeted intervention measures to help patients establish correct coping styles,so as to alleviate the fear of progression.
作者
邱瑛
李雪芹
QIU Ying;LI Xue-qin(Hemodialysis Center of Renal Medicine,West China Hospital,West China College of Nursing,Sichuan University,Chengdu Sichuan 610041,China)
出处
《蚌埠医学院学报》
CAS
2023年第12期1755-1758,1765,共5页
Journal of Bengbu Medical College
关键词
维持性血液透析
诱导期
恐惧疾病进展
心理弹性
社会支持
maintenance hemodialysis
induction period
fear of progression
psychological elasticity
social support
